Robert Mason Burdine Jr., LPC
Counselor, Professional in Liberty, SC. Individual provider (NPI-1).
NPI number1780007344
StatusActive
Last updated in NPPESJan 31, 2014
Details
- NPI
- 1780007344
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert Mason Burdine Jr.
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 31, 2014
- Last updated
- Jan 31, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 5635 | SC | Yes |
Practice location
314 Springdale AveLiberty, SC 29657-3807
Phone 864-551-0597
Mailing address
314 Springdale AveLiberty, SC 29657-3807
Phone 864-551-0597
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